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Home My WebLink AboutNCG080706_MONITORING INFO_20161206STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V C&v�Q� Q G DOC TYPE ❑HISTORICAL FILE CR/MONITORING REPORTS DOC DATE ❑ YYYYMMDD Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted 12-101 ie CERTIFICATE OF COVERAGE NO. NCG08Qa_ ►CL (n'" FACILITY NAME &.11 sn y,,% G,-5ciw ISir COUNTY PERSON COLLECTING SAMPLES LABORATORY rl ft Ae.C:1 LA Cert. # US Comments on sample collection or analysis: SAMPLE COLLECTION YEAR Z01 to SAMPLE PERIOD ❑ Jan -June 191uly-Dec RC 9Cc EI D{nFTARGING TOor ❑CLASS Monthly'ORW HQW Trout the PNA DEC 2 8 2M ❑Zero -flow [:]WaterSupply ❑SA ❑Other CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ✓ yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15 - -5b0-j&z 111 1. 51 (.. 9 8 --- S 7 65 DOS s rZ 'S G . 9'T 4 S 7 55 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) O utfa I I No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100 see permit 6.0-9.0 i For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 201 1 Page I of 2 STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): T Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 doys of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) lZ Zo /b (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/sulnpdessw4tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Q alit General Permit No. NCGO80000 Date submitted /® 040 /S CERTIFICATE OF COVERAGE NO. NCG080 -1 a G FACILITYNAME COUNTY PERSON COLLECTING SAMPLES LABORATORY Iye-6-N Lab Cert. # — 1 LPS Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2Q15 SAMPLE PERIOD ❑ Jan -June July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED QZeho-flow ❑Water Supply ESA OCT 09 2015 LJ�� PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL ALES Did this facility perform Vehicle Maintenance Activities using more than 55 gallon9o1YRe dR6?rdil per month?✓r/yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0-9.0 15 - 5 IJS a--z 09 17_6 1 Is cco -7.83 155 bo 4-3 a zs Is -C2.5 T•-z9 �S 755 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfa ll No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 1s 50 or 100 see permit 6.0 — 9.0 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 4097 d� SWU-250 last revised April 11, 2013 Page l of 2 tTORM~EVENT CHARACTERISTICS: Date 25 is (first event sampled) Total Event Precipitation (inches): 9� Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. + TIER 3: HAS YOUR FACILITY HAD A OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of recei t o the lab results or at end of monitoring period in the case of "No Discharge" _rep orts) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr,org/web/wq/ws/su/npdessw#tab-4 S W U-25 0 last revised April 1 1, 2013 Page 2 of 2 T Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted 5 j 1 Z 1 15 _ CERTIFICATE OF COVERAGE NO. NCGOH O -I O (�p FACILITY NAME gtLj I i COUNTY lalown C-e- PERSON COLLECTING SAMPLES D Scak s LABORATORY M*- ► r�c]r` LA Cert. # I GS Comments on sample collection or analysis: RECEIVED MAY 14 2015 CENTRAL FILES SAMPLE COLLECTION YEAR 2-015 DWR SECTION SAMPLE PERIOD [ an -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA [Other C�" PLEASE REMEMBER TO SIGN ON THE REVERSE 4 TM"M Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Zyes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids,, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM); mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100-see permit Within 6.0 — 9.0 15 - - Z -S I 15' yl . 4 < s y 55 � 5 i � 5' -Z, 7 •3 � S ?s5 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfall No. Date 100556 Sample Collected, mo/dd/yr 00530 00400 Non -Polar Oil and Grease/TPH-EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100 see permit 6.0 — 9.0 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. " SWU-250 Iasi revised April 11. 2013 Page I of 2 Si;ORM EVENT CHARACTERISTICS: Date s 1111 S(first event sampled) Total Event Precipitation (inches): 36 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 0 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No: NCG080000 f Date submitted November 29, 2014 - =1 - . `_ =i' . • =��:`" CERTIFICATE OF COVERAGE NO. NCGO80676 SAMPLE. COLLECTION;YEAR 2014-FACILITY . .. ; NAME ORANGERECEIarrbor0 Public Works Garage 8 PERT or - [] Monthlyi` D Jan -June July -Dec COUNTYf1i i_,,? r►►►orrth) "` PERSON COLLECTING SAMPLES J Frei/ SwSG QC ARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA LABORATORY Pace Anal kal'.'•_ -- Lab Cert: li • 12 67 >;>, .- .r�l. ,-:•� �, : Zero -flow° .Q,Water Supply- +[3SA Comments on sample collection or analysis: _pH measured in field by CENTRAL FILES R1 Other. WS-V, NSW SwSG (Lab Cert No. 5054) pWR SECTION PLEASE REMEMBER TO SIGN ON tAt'REVEkSt 4" Did this facility perform -Vehicle Mai ntenance'Activities using more than'55 gallons of new:motor oil:per.month7 ' ✓. yes, -no ; (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 - Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH Method 1664 (SGT-HEM), mg/L Annual average gal/mo' Benchmark - 50 or 100 see permit Within 6.0 -- 9.0 15 001 11/17/14 224 6.60 9.2 +/- 65 005 11/17/14 340 6.$5 8.6 ? ' +/- 65' EPA New Motor Oil Usage; Part B: Oil/water Separators and Secondary Containment Areas at PetroleumZulk Stations and Terminals (If applicable) , Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH,EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L _ pH, Standard units ' Permit Limit - 15 50 or 100 see permit 6.0 — 9.0 0 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: ; ,�; < < :.•,: - n _ , ., _ . _� 4; = ^a:_.... -' .r ��•": r- __.-.ems.'.:. .' �t „.3'_'.`'� _....=^� ..__:''.:._� .- --=�^ -- -:.i e' _ ...� s.- Date 11/17/14 (first.event`sampled) • .•' R'� i . :.:�_„ . ,. ,. : i i -' 's'` ��' ; �,h ;�.:' , w Total Event Precipitation (inches): 0.40 Date (list each additional event sampled tliis'reporting period, and rainfall amount) _,__`' ..:' ; : • �. ' , Total Event -Precipitation (inches): r F ,. t — _ _ _ "�.' _ - -� -• nt-; ? ;a.'�'t:'. _ '.!i( -,' ••1 '�."' .. ` , - rJ [,h: tip..-_•_ .`_, __. H � .:.� ` •a ..' - �,. -' ,.. Note::lf. ya_u report a somple value in excess of the benchmark, must implement Tier 1, rer 2, or Tier -3 respon- ses. General Permit text you •See .. , ;.., _, ; , r FOR PART A AND PART B MONITORING RESULTS: - • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B. - - - - - • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR'MORE'BENCHMARK EXCEEDENCES FOR THE SAME, PARAMETER AT'ANYONE QUTFALL7 ,rYES ❑ N010, r• IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ t...�*r: , , _ .. REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of'receipt'of the lab results for at end of morritorrnu yeriod in the case of "No Disihoi e" repots] Division of.Water Quality. i ` _ ] s_�, Attn: DWQ Central Files ' -• .. l ..t : ' ` __. _'� r'. •'su r: .; r� .. 4�}...-� - - 1617 Mail Service Center - - Raleigh, North Carolina 27699-1617 __ ._ .. - "_ - .- • *' -: �' '' �� ' YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted: -Based'on my inquiry'of the person or persons who manage the system, -or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting.false!infoerr ation;iincluding.the possibility of,fines and imprisonment for knowing violations." (Signature of Permiitee), Additional copies of this form may downloaded at: htt': brtal.ncdenr.or web w ws sun -dessw#itab-4 s SWU-250 last revised April It, 2013 Page 2 of 2 North Carolina Division of Water Quality SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Vehicle Maintenance Activities Only Date submitted _10� s ) 14 CERTIFICATE OF COVERAGE NO. NCG0801 O (E FACILITY NAME RrAA\+�-� ors E ,__c•,a m �� S,-AV kcc-_'I COUNTY PERSON COLLECTING SAMPLES c LABORATORY.) O-CCAA La Cert. # i (o5 SAMPLE COLLECTION YEAR 20 14 RECEIVED OCT 31 ZeffASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL FILLS DWR SECTION Vehicle Maintenance Area (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month. Total event rainfall' . (o9 or ❑ No discharge this periodz Outfall No. Sample Collected, mm/dd/yr Total Suspended I Solids (TSS), mg/L Non -polar O&G/TPH, mg/L (Method 1664 SGT-HEM) (if applicable) Oil and Grease, mg/L (if applicable) pH, Standard units (if applicable) New Motor Oil Usage, Annual average gal/mo Benchmark - 100 or 50 15 30 Within 6.0 — 9.0 - a SQ, A/ A _<15 -1.8Z ass s i .s IUi� s .8 �s5 1 The total precipitation must be recorded using data from an on -site rain gauge. 2 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies. *FOR MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: SWU-254 Vehicle Maintenance Activities DMR Lust Revised: ,i-lay 17. 2013 Page l of 2 a:. Mail on original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Z`//,� (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/wslsuZnpdessw SWU-254 Vehicle Maintenance Activities DMR Last Revised, May 17, 2013 Page 2 of 2 Chain of Custody Record (CCC) { Client: �._,�.2�.n� j r� NPOES# nCG 0,? Phone: 33L[<ic: �„ ��>�� INC. ENVIRONMENTAL LABORATORIES A Division of WRIer Technology and Controls, Inc. Phone: 1-336-342-4749 642 Tamao Re.. Fax: 1-336-342-1522 Reidsville, NC 27320 Email: srmrtech@bellsouth.net Web Site: www.meritech-labs_com Fax: Address: J_ t30114 SSC ? < ,.z t;; ro ' Y1 _ C . .z 7 21 k Attention: ! n S C.c €(55 J. Email: C-1 h• 1(.:,�4.,. Project# P. 0. # Turn Around Timer* "RUSH work must have prior approval. Std (yr�days) 3- 5 Day 24�48 Hr Location/ID Sampling Dates & Times person ?akin Sample Sionature : [ I �doodd RequiSample �Onty e START END Comp? Grab? 0 of cots. Tests Required 200 81200 7 pH OK? C12QK? Date Time Date Time 3Z) C, I Z Compositor;? Jug # *" Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol or TKN samples must be done in the field prior to preservation.*** Cornrr rents: Method of Shipment: ❑ UPS ❑ Fed Ex Hand Delivery ❑ Other i Are these results for regulatory purposes? Report results in YES NO ❑ mg/l. mg/Rg ❑ Rg/L :D On use? �. Temperature On Receipt Relinquished by Date Tme Received by Date Time Relinquished by Date Time Received by Date Time Relinquished Date Time eCeivgd ab to Time �i 1 `, V Meritech, Inc. Environmental Laboratory Laboratory Certification No. 165 Contact: Danny Scales Report Date: 1O/22/2014 Client: City of Burlington NPDESit: NCGO80706 P.O. Box 1358 Burlington, NC 27216 Date Sample Rcvd: 10/15/2014 Meritech Work Order # 10151431 Sample: SDO #2 Grab 10/15/14 Parameters RC5111i Analysis Date Reporting Mini Method Total Suspended Solids 36 ing/L 10/16/14 2.5 mg/L SM 2540 D Oil & Grease (HEM) < 5 mg/L 10/21/14 5 mg/L EPA 1664A Meritech Work Order # 10151432 Sample: SDO #3 Grab 10/15/14 Paramete Resul.t Analysis Date JReporting Limit Method Total Suspended Solids < 2.5 mg/L 10/16/14 2.5 mg/L SM 2540 D Oil & Grease (HEM) < 5 mg/L 10/21/14 5 mg/L EPA 1664A ! hereby certify that! have reviewed and approve these data, ti, #"b ! Laboratory Represent Live 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted `1 1301 -2-og CERTIFICATE OF COVERAGE NO. NCG08 0 6 FACILITY NAME COUNTY PERSON COLLECTING SAMPLES C \&S e�SQY� LABORATORY \; c.. Lab Cert. # .1 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2,0 14 SAMPLE PERIOD ❑ Jan -June [f July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA RECEIVED ❑Other AUG 0 4 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 afZNTRAL FILES Did this facility perform Vehicle Maintenance Activities using more than 55 ga 555 \QfbiU`motor oil per month? )< yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15 - o -A- 3 0`I 'Z_I .98 s ss Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) Outfal I No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100 see permit 6.0 — 9.0 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 1[, 2013 ["age I of 2 STORM EVENT CHARACTERISTICS: Date 7 ZI I (first event sampled) Total Event Precipitation (inches): 2-4 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: + A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO [� IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oral and one copy -of his DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) -713011 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S WU-250 last revised April 11, 2013 Page 2 of 2 Meritech, Inc. Environmental Laboratory, Laboratory Certification No, 165 Contact: Chester Patterson Report Date: 7/29/2014 Client: City of Burlington NPDES#: NCGO80706 P.O, Box 1358 Burlington, NC 27216 Date Sample Rcvd: 7/21/2014 Meritech Work Order # 07211419 Sample: SDO 112 Grab 7/21/14 Parameters ResulC Analysis Date. Re.pUtin.g LimitMethod Total Suspended Solids 24 mg/L 7/23/14 2.5 ing/L SM 2540 D Oil & Grease (HEM) < 5 mg/L 7/22/14 5 ing/L EPA 1664A Meritech Work Order # 07211420 parameter Total Suspended Solids Oil & Grease (HEM) esult Sample: SDO #3 Grab Analysis DaLe 5 mg/L 7/23/14 < 5 mg/L 7/22/14 7/21/14 ReporthIg Limit Method 2.5 ing/L SM 2540 D 5 mg/L EPA 1664A I hereby certify that I have reviewed and approve these data. _ ti /O Labot•atory Representative 642 Talnco Road, Reidsville, North Carolina 27320 tel.(3361342-4748 fax,(336)342-1522 Chain of Custody Record (COC) NPDES#:G� O -70to a4"' z►.z � Phone: Address: c3. k Ox- _ �3�0 Fax: �L;-h, �-mv, t_NC 21"ZLIc� Email: Project: �.�,pms.►^�t S� V rcxS P.Q.#: Attention: Turn Around Time* How would you like your report sent? 'RUSH work needs prior approval. Circle all that apply: mail referred), FaX, Mail Std 7Oda s} 3-5 Da S 24-48Hrs ER�� CHINC.Client: 1 ENVIRONMENTAL LABORATORIES 642 TamcoRd. Phone: 336-342-4748 { M Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritech-labs.com www.meritech-labs.com Sample Location an,-4/or iD n .Sampling Dates & Times Person Taking Sam le (sign ri }: 5� Lab Usk' Only Start End Comp Grab. dot I Cont. Test(s) Required ce? o p H OK? � CI.OK? Date Time Date Time o4— lo-4$ 1 Z 1 S O, Temperature:Upon R ITMethod of Shipment: ••• Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. '"' Comments: r Compositor UPS Jug#° Fed Ex Are these results or regulatory purposes? Yes --?= No Report results in: mg/l [�: mg/kg [- ug/L:: Hand Delivery Refnqu 5h by: t ! 64�(� % t'�� Received by: Date: Time: Q' Other Relinquished by: 0Date: Time: Received by: Date: Time; Relinquished by: Date: Time: Rc,5ved Fal /Tjrt�F i ,